Maternity 3

Question 1

Anesthesia

Answer 1

epidural pain relief is administered during the first stage

Question 2

analgesic drug

Answer 2

should not be given until the cervix is dilated to at least 4cm

Question 3

First day postpartum, the fundus should be found

Answer 3

firm at midline

Question 4

opoid antagonist

Answer 4

used to counteract respiratory depression in the newborn is Naloxone (Narcan)

Question 5

The main disadvantage of home birth

Answer 5

lack of emergency equipment

Question 6

Prolactin

Answer 6

stimulates the secretion of milk from the mammary glands

Question 7

early sign of labor

Answer 7

passage of the mucus plug or a bloody show as the cervix ripens

Question 8

duration of contraction

Answer 8

measured from the time the uterus begins to contract until it relaxes

Question 9

Progressive uterine contraction

Answer 9

definitive sign of true labor

Question 10

Complication of an epidural block include

Answer 10

maternal hypotension

Question 11

Maternal bradycardia

Answer 11

commonly seen in the first six to ten days postpartum

Question 12

Loss of more than 500cc of blood at time of delivery or immediately thereafter indicates

Answer 12

postpartum hemorrhage

Question 13

Uterine atonies, laceration of the birth canal, retained placental fragment

Answer 13

some of the causes of postpartum bleeding

Question 14

Subinvolution

Answer 14

failure of the uterus to revert to pre-pregnant state through gradual reduction in size and placement

Question 15

Painful vaginal bleeding, a tender and board like uterus are signs and symptoms of

Answer 15

abruptio plancentae

Question 16

Severe pelvic pain

Answer 16

associated with abruptio placentae

Question 17

Meconium stained amniotic fluid is associated with

Answer 17

fetal compromise

Question 18

When a woman lies on her back during active labor she may experience

Answer 18

supine hypotension syndrome

Question 19

newborn Apgar score

Answer 19

likely to be lowest when the mother has general anesthesia for childbirth

Question 20

first stage of labor

Answer 20

divided into two phases

Question 21

latent phase

Answer 21

the onset of labor until cervical dilation of 4 cm and the active phase which involves the progression of dilation from 4cm to 10cm, rapid dilation and descent

Question 22

fourth stage of labor

Answer 22

first 4 hours after placental expulsion

Question 23

The is the first 4 hours after placental expulsion, in which the client’s body begins the

Answer 23

recovery process

Question 24

After a woman’s amniotic membranes rupture, the nurse should assess for

Answer 24

fetal heart tones

Question 25

prolapsed cord

Answer 25

emergency situation

Question 26

The nurse must apply manual pressure to the presenting part

Answer 26

prolapsed cord

Question 27

have the mother assume a knee-chest position

Answer 27

prolapsed cord

Question 28

if the client has spontaneous rapture of the amniotic membrane

Answer 28

nurse should check the fetal heart first

Question 29

second stage of labor

Answer 29

begins with complete dilation (10cm)

Question 30

ends with the birth of the infant

Answer 30

second stage of labor

Question 31

third stage of labor begins

Answer 31

after the birth of the infant

Question 32

third stage of labor ends

Answer 32

with the expulsion of the placenta

Question 33

During the first hour of the fourth stage of labor

Answer 33

the nurse should assess vital signs, fundal consistency, and the amount of vaginal bleeding every 15 minutes.

Question 34

The fundus should be palpated

Answer 34

in the midline of abdomen

Question 35

If the woman has full bladder

Answer 35

the fundus may be deviated to the right or left

Question 36

During labor, a woman’s bladder should be assessed

Answer 36

at least every 2 hours because a full bladder may interfere with labor progress

Question 37

Nursing care during the active phase of labor should include

Answer 37

monitoring vital signs and fetal heart rate

Question 38

Signs of potential complication of labor include

Answer 38

contractions lasting more than 90 seconds or longer, contractions consistently occurring 2 minutes or less apart, fetal bradycardia, tachycardia, persistently decreased variability or an irregular Fetal Heart Rate

Question 39

Risk factors for preterm labor

Answer 39

Multiple gestations, history of abortions, client younger than 15 years, client older than 35 years, poor nutrition, alcohol or drug use, smoking

Question 40

duration of a contraction

Answer 40

measured from the time the uterus begins to contract until it relaxes

Question 41

Normal labor

Answer 41

consists of regular contractions, cervical dilation, effacement, and descent, and the delivery of the fetus.

Question 42

Normal labor

Answer 42

divided into four stages

Question 43

boggy fundus signals uterine atony

Answer 43

soft and poorly contracted

Question 44

the nurse should massage the fundus until it becomes firm and clots are expressed

Answer 44

boggy fundus

Question 45

, it is important for the cervix to be fully dilated before she can begin bearing down

Answer 45

When the client feels the urge to push during labor

Question 46

Elevation in temperature 24 hours after delivery

Answer 46

is related to the exertion and dehydration of labor

Question 47

It is not a cause for concern unless it goes above 100.4 degrees F and for 2 consecutive days after the first 24 hours

Answer 47

Elevation in temperature 24 hours after delivery

Question 48

A previous C-section delivery

Answer 48

an indication for subsequent pregnancies and deliveries except if the uterine scar is low transverse

Question 49

fundus should be at the level of the

Answer 49

umbilicus on the day of delivery

Question 50

fundus should

Answer 50

falls below the umbilicus by approximately one finger breadths per day until it has contracted into the pelvis by the 9th or 10th day

Question 51

In a precipitate delivery in which there is no physician present, the nurse should

Answer 51

apply gentle pressure to the perineum and deliver the head between contractions